CMS Price Transparency Data

Blood test, amylase

Facility: St Louis Childrens Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $44
Cash Discount Price: $35
vs. Medicare Baseline: 6.79x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at St Louis Childrens Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 6.79x the Medicare baseline. Located in One Childrens Place, Saint Louis, MO.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$44

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)

Cash / Self-Pay: $35 (540%)

Insurance Median: $44 (679%)

Cash: $35 (540% of Medicare)

Ins. Median: $44 (679% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.48 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 679% of the Medicare baseline (a markup of 579%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$6 - $47	93%
UnitedHealthcare	$6 - $44	93%
Blue Cross Blue Shield	$7 - $50	108%
Cox Health [757]	$7	108%
Essence Healthcare [221]	$7	108%
Humana	$7 - $44	108%
Medica [662]	$7	108%
Cigna	$29 - $32	448%
Healthlink [225]	$29 - $45	448%
Apwu Health Plan [216]	$32	494%
Consociate [478]	$32	494%
Nalc Health Benefit Plan [242]	$32	494%
Priority Health [648]	$32	494%
Sarah Bush Lincoln [636]	$32	494%
Allied Benefits [498]	$34 - $47	525%
Hope Trust [806]	$34	525%
Cox Health Systems Insurance Company [220]	$38 - $44	586%
Med-Pay [480]	$38 - $44	586%
Unicare [568]	$38 - $45	586%
Health Alliance [224]	$41	633%
Healthscope Benefits [258]	$42 - $47	648%
Beechstreet [551]	$44	679%
Detego Health [868]	$44	679%
First Health Commercial [734]	$44	679%
Health Systems Inc [620]	$44	679%
Healthcare Sol Mercy [609]	$44	679%
Multiplan Commercial [737]	$44	679%
Multiplan [240]	$44	679%
Phcs [244]	$44 - $47	679%
Preferred Health Professionals [561]	$45	694%
Coresource [497]	$47	725%
Fmh Benefit Service Inc [222]	$47	725%
Mail Handlers [495]	$47	725%
Medica [661]	$47	725%
Hfn [563]	$50	772%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $35.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Louis Childrens Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.